EP3267885A1 - Moniteur d'électrocardiogramme à écouteur bouton et systèmes et procédés associés - Google Patents

Moniteur d'électrocardiogramme à écouteur bouton et systèmes et procédés associés

Info

Publication number
EP3267885A1
EP3267885A1 EP16762700.9A EP16762700A EP3267885A1 EP 3267885 A1 EP3267885 A1 EP 3267885A1 EP 16762700 A EP16762700 A EP 16762700A EP 3267885 A1 EP3267885 A1 EP 3267885A1
Authority
EP
European Patent Office
Prior art keywords
patient
conversion unit
monitor
processor
electrical signal
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
EP16762700.9A
Other languages
German (de)
English (en)
Other versions
EP3267885A4 (fr
Inventor
Sean Marcus
Anthony Balda
George Koos
Scott Baskerville
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Medicomp Inc
Original Assignee
Medicomp Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Medicomp Inc filed Critical Medicomp Inc
Publication of EP3267885A1 publication Critical patent/EP3267885A1/fr
Publication of EP3267885A4 publication Critical patent/EP3267885A4/fr
Withdrawn legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6887—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient mounted on external non-worn devices, e.g. non-medical devices
    • A61B5/6898—Portable consumer electronic devices, e.g. music players, telephones, tablet computers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/024—Detecting, measuring or recording pulse rate or heart rate
    • A61B5/02438—Detecting, measuring or recording pulse rate or heart rate with portable devices, e.g. worn by the patient
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
    • A61B5/0004—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by the type of physiological signal transmitted
    • A61B5/0006—ECG or EEG signals
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/0205—Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/332—Portable devices specially adapted therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/346—Analysis of electrocardiograms
    • A61B5/349—Detecting specific parameters of the electrocardiograph cycle
    • A61B5/361—Detecting fibrillation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6801—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
    • A61B5/6802—Sensor mounted on worn items
    • A61B5/6803—Head-worn items, e.g. helmets, masks, headphones or goggles
    • H—ELECTRICITY
    • H04—ELECTRIC COMMUNICATION TECHNIQUE
    • H04R—LOUDSPEAKERS, MICROPHONES, GRAMOPHONE PICK-UPS OR LIKE ACOUSTIC ELECTROMECHANICAL TRANSDUCERS; DEAF-AID SETS; PUBLIC ADDRESS SYSTEMS
    • H04R1/00—Details of transducers, loudspeakers or microphones
    • H04R1/10—Earpieces; Attachments therefor ; Earphones; Monophonic headphones
    • H04R1/1016—Earpieces of the intra-aural type
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2560/00—Constructional details of operational features of apparatus; Accessories for medical measuring apparatus
    • A61B2560/02—Operational features
    • A61B2560/0204—Operational features of power management
    • A61B2560/0214—Operational features of power management of power generation or supply
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/024—Detecting, measuring or recording pulse rate or heart rate
    • A61B5/02405—Determining heart rate variability
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb

Definitions

  • the present invention relates generally to electrocardiogram (ECG) monitoring and, more particularly, to wearable devices with integrated ECG sensors for ambulatory ECG monitoring, and related systems and methods.
  • ECG electrocardiogram
  • Heart disease is a leading cause of death in the United States. Some patients may benefit from long-term ECG monitoring outside of a clinical setting. For example, atrial fibrillation and myocardial ischemia may occur episodically. Some episodes may occur without patient symptoms. Myocardial ischemia, if persistent and serious, can lead to a myocardial infarction (heart attack). During a myocardial infarction, electrophysiological changes may be detected by an ECG. For accurate diagnosis and effective treatment of many episodic heart conditions, medical professionals need to receive accurate and timely information regarding the frequency and duration of such episodes.
  • U.S. Patent No. 7,769,435 to Kuo et al. discloses an earphone sensor system for measuring electrocardiogram signals.
  • the electrocardiogram signal analyzing apparatus includes an amplifier module, a microcontroller, a display, a radio module and a housing having conductive contacts.
  • the earphone sensor system can be associated with commercial gadgets and used for musical treatments and bio-feedback.
  • W.O. Patent Application No. 2009069037 by Powers discloses a heart monitor including an electroacoustic transducer such as an earphone coupled to a controller.
  • the transducer is positioned in a person's ear such that signals from the transducer are processed to determine the presence of pulsatile blood flow.
  • the heart monitor may be incorporated into a portable media playback device alternating between playback and monitoring mode or performing both simultaneously using one earphone for each function.
  • U.S. Patent Application No. 2013/0158423 by Kapoor is directed to a system for acquiring an electrical footprint of the heart, electrocardiogram (ECG) and heart rate variability monitoring, incorporated into a mobile device accessory.
  • ECG electrocardiogram
  • the ECG signal is acquired and transmitted to a server via the mobile device, offering accurate heart rate variability biofeedback measurement which is portable and comfortable during normal daily life.
  • the present invention may include a processor, an electrical signal conversion unit, and a pair of earbud electrocardiogram (ECG) monitors each including a respective conductive electrode component.
  • the electrical signal conversion unit may carry a third electrode.
  • Each conductive electrode component and the third electrode may comprise a physiological-type sensor.
  • a method aspect of the present invention may include the steps of positioning each of the conductive electrode components of the earbud ECG monitors in a respective ear of the patient, and receiving biopotential signals from each ear of the patient.
  • the method further may include receiving, using the third electrode, biopotential signals from one of a left arm and a hip of the patient. Triggering of biopotential signal readings from all sensors may be by virtue of a record button carried by the electrical signal conversion unit.
  • Another method aspect of the present invention may include the steps of converting, using the electrical signal conversion unit, one or more of the biopotential signals described above into converted ECG data.
  • the method further may include forwarding the converted ECG data to a smartphone, and analyzing the converted ECG data for cardiovascular health indicators using some number of smartphone applications.
  • the earbud ECG monitors may advantageously cooperate with the electrical signal conversion unit to convert audio signals transmitted by the smartphone into sound using speaker units carried by the earbud ECG monitor.
  • the electrical signal conversion unit may include a system on a chip (SoC) having a data store and a processor.
  • SoC system on a chip
  • the processor may retrieve processing functions from the data store and may execute those processing functions to identify the health status of the patient from the biopotential signals described above.
  • the SoC may be configured in data communication, either wired or wirelessly, with the smartphone.
  • FIG. 1 is a schematic diagram of an earbud ECG monitor system according to an embodiment of the present invention.
  • FIGS. 2A and 2B are schematic diagrams of front and side elevation views, respectively, of an earbud monitor as used in connection with an earbud ECG monitor system according to an embodiment of the present invention.
  • FIG. 3 is a schematic diagram of a front elevation view of a signal conversion unit as used in connection with an earbud ECG monitor system according to an embodiment of the present invention.
  • FIG. 4 is a schematic diagram of perspective views of a headphone jack and a Y-joint cable, respectively, as used in connection with an earbud ECG monitor system according to an embodiment of the present invention.
  • FIG. 5 is a flow chart illustrating a method of ECG data analysis and display as used in connection with an earbud ECG monitor system according to an embodiment of the present invention.
  • FIG. 6 is a block diagram of a system on a chip (SoC) as used in connection with an earbud ECG monitor system according to an embodiment of the present invention.
  • SoC system on a chip
  • FIG. 7 a block diagram representation of a machine in the example form of a computer system according to an embodiment of the present invention.
  • the present invention may be referred to as an earbud ECG system, an earbud system, an ECG monitor system, an ECG system, a heartrate monitor system, an earbud heartrate monitor, an earbud, a monitor, a computer program product, a computer program, a product, a system, a device, and a method.
  • the present invention may be referred to as relating to generally to biometric monitoring. Those skilled in the art will appreciate that this terminology does not affect the scope of the invention.
  • Example methods and systems for an earbud ECG monitor system are described herein below.
  • numerous specific details are set forth to provide a thorough understanding of example embodiments. It will be evident, however, to one of ordinary skill in the art that the present invention may be practiced without these specific details and/or with different combinations of the details than are given here. Thus, specific embodiments are given for the purpose of simplified explanation and not limitation.
  • An embodiment of the invention provides an earbud electrocardiogram (ECG) monitor system 100 comprising some number of electrode-employing components 102 configured in electrical communication with an electrical signal conversion unit 104 which, in turn, may be configured in data communication with a processor 170 (as illustrated in FIG. 1).
  • ECG monitor systems and associated methods 100 may advantageously allow users to easily monitor their cardiovascular health status when used in combination with a compatible processor such as, for example, and without limitation, a smartphone 170 and accompanying smartphone software application, without creating significant physical discomfort nor undue operational complexity for the user.
  • the related systems and methods of using the disclosed earbud ECG monitor 100 may advantageously leverage user skills that may be common among many individuals (e.g. devices carried in armbands in order to play music during exercise). These disclosed devices, systems, and methods may advantageously allow for the addition of ECG monitoring functionality without a significant increase in hardware requirements. Also, the disclosed system 100 advantageously may not require modification of the user's smartphone 170 (nor the purchase of a new smartphone), may allow for a consistently reliable hard-wired connection (e.g., may minimize connection failures common to wireless capability, as well as minimizing signal noise), and may maintain audio playback while offering comfort and efficiency in ECG measurement.
  • the present invention may be applied in the fields of cardiovascular medicine and health, sports medicine, and therapy in the area of ambulatory ECG monitoring. More specifically, the present invention may appeal to the fitness-oriented consumer and may also be applied to ECG-related procedures to drive patient compliance.
  • each of the electrode-employing components 102 may be defined as comprising two specially- designed intra-concha earbuds similar to those used for audio playback in many smartphones and other media players.
  • an earbud 102 may include a standard speaker unit (not shown), a covering 116 for the speaker unit, and a conductive electrode component 110.
  • the speaker unit may be configured to playback audio.
  • the covering 116 for the speaker unit may be designed to be waterproof / sweat-proof.
  • the electrode component 110 may be positioned on or around a casing 112 in a location conducive to biometric signal harvesting.
  • the casing 112 may be configured to carry each of the aforementioned components, as well as a wire stem 114 (also referred to as an earbud stem) that may be configured to support a wire 119 as the wire 119 leaves the earbud 102.
  • the wire stem 114 may advantageously prevent damage to the wire 119 or separation of the wire 119 from the earbud 102.
  • the electrode/sensor component 110 may comprise a material that is both an excellent conductor and that may also be efficient in maintaining the earbud's 102 position within the concha of a human ear.
  • such materials may include electrically conductive silicone, which may easily be molded into a variety of shapes and which may allow for efficient design to increase signal quality.
  • the earbud 102 may be characterized by a rubber (or similar material) wire seal / guard 118 that may be positioned at the distal end of the earbud stem 114 to further protect the wiring 118 and to prevent damage due to moisture leakage on the inside of the device casing 112.
  • the signal conversion unit 104 may comprise circuitry configured to convert an ECG signal harvested by, for example, and without limitation, an earbud 102 into a digitized signal that may be transmitted to and recognized by a typical smartphone's 170 existing microphone hardware and software.
  • the conversion unit 104 which may be implemented as a system on a chip (SoC), as described in more detail below, may include required circuit hardware / firmware / software, a casing 140, and entry 146 and exit 148 points for earbud cables 147, 149, respectively.
  • SoC system on a chip
  • certain embodiments of the conversion unit 104 may include various interface elements meant for a user to perform a specific task (for example, and without limitation, a button that may trigger recording of a certain ECG segment, and/or a slide switch that may control music volume), various structures that may be designed to mechanically mount the conversion unit to the user's body (for example, and without limitation, an armband, an/or a belt clip), and a housing 141 that may be configured to carry a third electrode 143 that may be exposed at a position on the casing 140 where the electrode 143 may be in contact with the user's skin.
  • the casing 140 may also be designed to function as a mobile-device armband, where the mobile device being used may be fixed to a conversion unit 104 for the sole purpose of added convenience to the user.
  • the system 100 that uses the earbud ECG monitor 102 described above may also comprise an input apparatus alternative to the proposed modified earphones that may include a similar (if not same) conversion unit, wherein the earbuds may be replaced with regular ECG skin electrodes at the terminal end of the cable. These electrodes may be placed on the user's chest in an arrangement conducive to collecting viable ECG signal data.
  • the alternate system may include electrodes that may be able to support any desired number of leads.
  • a data connectivity mechanism between the conversion unit 104 and the smartphone 170 of the earbud ECG monitor system 100 may also include a standard TRRS-type Apple-compatible headphone jack 120 that may support both left 122 and right 124 stereo sound, as well as a microphone 128.
  • a person of skill in the art will recognize that connector configurations may differ among mobile manufacturers.
  • the system 100 so configured may advantageously allow the user to listen to audio from a smartphone device 170 as well as allow the device 170 to receive the converted ECG/microphone signal from the earbud ECG monitor's cable 149.
  • wires 132, 134 from more than one earbud ECG monitor 119 may join each other to form one observable cable 136 to define a Y-joint 130 consistent with many existing headphone devices.
  • the post-Y-joint 136 cable may then enter the signal conversion unit 104 at an input cable 147, and then may exit the unit 104 through an output cable 149 after signal processing.
  • the post-conversion unit earbud cable may then enter (and end) at the TRRS-type manufacturer-compatible headphone jack 120, which may then be plugged in to the user's smartphone 170 or other compatible mobile device.
  • a computer-implemented method aspect of the present invention may use the earbud ECG monitor 102 described above to transmit harvested ECG data to the smartphone 170, the latter of which may include some type of mobile application capable of receiving, interpreting, analyzing, and displaying the harvested and converted signals delivered by the rest of the system.
  • this application may include functions for recording and saving segments of ECG data, providing important analytical and statistical data to the user relevant to health and fitness, and transferring the data if necessary (for example, and without limitation, via a mobile network, Wi-Fi, USB, or other means suitable for transferring data as may be understood by those skilled in the art).
  • the application may also be able to function properly while running in the background if the user is multi-tasking. Standard music or other media audio playback may be unaffected by this system.
  • a detected input signal (Block 515) may be harvested (Block 520) either from the two earbuds solely, from the electrodes 110, from the earbuds 102 and backside of conversion unit casing 143, or from any other viable combination of conductive components.
  • the signal may be relayed to the conversion unit 104 through the earbud / electrode cable 119, 130, where the signal may be processed and converted into a readable format of microphone data (Block 530), similar to existing TTM function, for example, and without limitation.
  • the newly converted ECG-Mic data may then be sent from the conversion unit 104 to the smartphone 170 through the cable 149 and/or the TRRS-type manufacturer-compatible headphone jack 120.
  • the ECG-Mic data may then be read by the smartphone 170 / mobile device (either directly by the intended application, or by the phone itself and then pulled into the application).
  • the smartphone 170 / mobile device either directly by the intended application, or by the phone itself and then pulled into the application.
  • the aforementioned electrode configuration each ear, and then either left arm or hip
  • user and/or system input may dictate whether ECG signal harvesting and processing is complete. If so, the process may end at Block 599. If not, the process may seek to detect additional ECG signal input (Block 515).
  • the SoC 200 may include at least one input connector 210 that may be connected to a signal amplifier 220.
  • the signal amplifier 220 may come into contact with the conductor of the earbud 110, or may otherwise be in electrical communication with the conductor 110, to create an ECG lead.
  • the amplifier 220 may receive signals from the conductor 110 via an integrated wiring system.
  • the signals from the conductor 110 may be amplified and subsequently converted by an analog-to-digital (A/D) converter 230.
  • A/D analog-to-digital
  • the A/D converter 230 may be configured to digitize the signals from the amplifier 220, and may optionally include filters to filter the signals or perform signal processing and identification of physiological conditions.
  • the amplified and converted signals may be directed into processing and storage circuitry that may include a data store 240 and a processor 250 to implement filtering and processing functions to provide intermediate results and to store information before transmission to computing resources 170 outside of the signal conversion unit 104.
  • the preprocessing circuitry of the SoC 200 may electrically couple the processed signals to a transmitter 260 (which may include an antenna) that may transmit the signals to the exterior system 170.
  • the signals may be transmitted using, for example, Zigbee or Bluetooth protocols, to an exterior system that may be a computer, personal digital assistant (PDA), or wireiess phone 170.
  • Other circuitry may include timing and interface circuitry.
  • the electrical conductor 110 may be in data communication with the data store 240, which may retain recorded signals until transmitted (transient) and/or may retain recorded signals until either manually or automatically deleted (persistent).
  • the transmitter 260 may be configured to receive data from at least one of the conductor 110 and the data store 240, and to communicate the data representing electrical signals detected by the conductor 110.
  • the SoC 200 may comprise a receiver 270 in electrical communication with the data store 240.
  • the receiver 270 may be configured to receive data and route those data to the data store 240 through the processor 250.
  • both communication of data from the transmitter 260 and receipt of data by the receiver 270 may occur wirelessly or over telephone lines.
  • the transmitter 260 and/or the receiver 270 may be implemented using radio frequency identification (RFID) technology.
  • RFID radio frequency identification
  • the transmitter 260 and the receiver 270 may be provided in combination by a transceiver.
  • the SoC 200 may also include a power supply 280 in electrical communication with at least one of the transmitter 260, the receiver 270, the processor 250, and the data store 240.
  • the power supply 280 may be a thin-film thermoelectric power generator configured to harvest, store, and channel electrical energy produced as body heat by subcutaneous tissue of the patient.
  • the power supply 280 may harvest kinetic energy resulting from patient-initiated motion.
  • the power supply 280 may comprise a resonance transformer for receiving near field wireless transmission of electrical energy (e.g., resonant inductive coupling).
  • the power supply 280 may be provided by a battery.
  • FIG. 7 illustrates a model computing device in the form of a computer 610, which is capable of performing one or more computer-implemented steps in practicing the method aspects of the present invention.
  • Components of the computer 610 may include, but are not limited to, a processing unit 620, a system memory 630, and a system bus 621 that couples various system components including the system memory to the processing unit 620.
  • the system bus 621 may be any of several types of bus structures including a memory bus or memory controller, a peripheral bus, and a local bus using any of a variety of bus architectures.
  • bus architectures include Industry Standard Architecture (ISA) bus, Micro Channel Architecture (MCA) bus, Enhanced ISA (EISA) bus, Video Electronics Standards Association (VESA) local bus, and Peripheral Component Interconnect (PCI).
  • the computer 610 may also include a cryptographic unit 625.
  • the cryptographic unit 625 has a calculation function that may be used to verify digital signatures, calculate hashes, digitally sign hash values, and encrypt or decrypt data.
  • the cryptographic unit 625 may also have a protected memory for storing keys and other secret data.
  • the functions of the cryptographic unit may be instantiated in software and run via the operating system.
  • a computer 610 typically includes a variety of computer readable media.
  • Computer readable media can be any available media that can be accessed by a computer 610 and includes both volatile and nonvolatile media, removable and nonremovable media.
  • Computer readable media may include computer storage media and communication media.
  • Computer storage media includes volatile and nonvolatile, removable and non-removable media implemented in any method or technology for storage of information such as computer readable instructions, data structures, program modules or other data.
  • Computer storage media includes, but is not limited to, RAM, ROM, EEPROM, FLASH memory or other memory technology, CD-ROM, digital versatile disks (DVD) or other optical disk storage, magnetic cassettes, magnetic tape, magnetic disk storage or other magnetic storage devices, or any other medium which can be used to store the desired information and which can be accessed by a computer 610.
  • Communication media typically embodies computer readable instructions, data structures, program modules or other data in a modulated data signal such as a carrier wave or other transport mechanism and includes any information delivery media.
  • modulated data signal means a signal that has one or more of its characteristics set or changed in such a manner as to encode information in the signal.
  • communication media includes wired media such as a wired network or direct-wired connection, and wireless media such as acoustic, radio frequency, infrared and other wireless media. Combinations of any of the above should also be included within the scope of computer readable media.
  • the system memory 630 includes computer storage media in the form of volatile and/or nonvolatile memory such as read only memory (ROM) 631 and random access memory (RAM) 632.
  • ROM read only memory
  • RAM random access memory
  • a basic input/output system 633 (BIOS) containing the basic routines that help to transfer information between elements within computer 610, such as during start-up, is typically stored in ROM 631.
  • RAM 632 typically contains data and/or program modules that are immediately accessible to and/or presently being operated on by processing unit 620.
  • FIG. 7 illustrates an operating system (OS) 634, application programs 635, other program modules 636, and program data 637.
  • OS operating system
  • the computer 610 may also include other removable/non-removable, volatile/nonvolatile computer storage media.
  • FIG. 7 illustrates a hard disk drive 641 that reads from or writes to non-removable, nonvolatile magnetic media, a magnetic disk drive 651 that reads from or writes to a removable, nonvolatile magnetic disk 652, and an optical disk drive 655 that reads from or writes to a removable, nonvolatile optical disk 656 such as a CD ROM or other optical media.
  • removable/non-removable, volatile/nonvolatile computer storage media that can be used in the exemplary operating environment include, but are not limited to, magnetic tape cassettes, flash memory cards, digital versatile disks, digital video tape, solid state RAM, solid state ROM, and the like.
  • the hard disk drive 641 is typically connected to the system bus 621 through a non-removable memory interface such as interface 640, and magnetic disk drive 651 and optical disk drive 655 are typically connected to the system bus 621 by a removable memory interface, such as interface 650.
  • the drives, and their associated computer storage media discussed above and illustrated in FIG. 7, provide storage of computer readable instructions, data structures, program modules and other data for the computer 610.
  • hard disk drive 641 is illustrated as storing an OS 644, application programs 645, other program modules 646, and program data 647. Note that these components can either be the same as or different from OS 633, application programs 633, other program modules 636, and program data 637.
  • the OS 644, application programs 645, other program modules 646, and program data 647 are given different numbers here to illustrate that, at a minimum, they may be different copies.
  • a user may enter commands and information into the computer 610 through input devices such as a keyboard 662 and cursor control device 661 , commonly referred to as a mouse, trackball or touch pad.
  • Other input devices may include a microphone, joystick, game pad, satellite dish, scanner, or the like.
  • These and other input devices are often connected to the processing unit 620 through a user input interface 660 that is coupled to the system bus, but may be connected by other interface and bus structures, such as a parallel port, game port or a universal serial bus (USB).
  • a monitor 691 or other type of display device is also connected to the system bus 621 via an interface, such as a graphics controller 690.
  • computers may also include other peripheral output devices such as speakers 697 and printer 696, which may be connected through an output peripheral interface 695.
  • the computer 610 may operate in a networked environment using logical connections to one or more remote computers, such as a remote computer 680.
  • the remote computer 680 may be a personal computer, a server, a router, a network PC, a peer device or other common network node, and typically includes many or all of the elements described above relative to the computer 610, although only a memory storage device 681 has been illustrated in FIG. 7.
  • the logical connections depicted in FIG. 7 include a local area network (LAN) 671 and a wide area network (WAN) 673, but may also include other networks.
  • LAN local area network
  • WAN wide area network
  • Such networking environments are commonplace in offices, enterprise-wide computer networks, intranets and the Internet.
  • the computer 610 When used in a LAN networking environment, the computer 610 is connected to the LAN 671 through a network interface or adapter 670. When used in a WAN networking environment, the computer 610 typically includes a modem 672 or other means for establishing communications over the WAN 673, such as the Internet.
  • the modem 672 which may be internal or external, may be connected to the system bus 621 via the user input interface 660, or other appropriate mechanism.
  • program modules depicted relative to the computer 610, or portions thereof, may be stored in the remote memory storage device.
  • FIG. 7 illustrates remote application programs 685 as residing on memory device 681.
  • the communications connections 670 and 672 allow the device to communicate with other devices.
  • the communications connections 670 and 672 are an example of communication media.
  • the communication media typically embodies computer readable instructions, data structures, program modules or other data in a modulated data signal such as a carrier wave or other transport mechanism and includes any information delivery media.
  • a "modulated data signal" may be a signal that has one or more of its characteristics set or changed in such a manner as to encode information in the signal.
  • communication media includes wired media such as a wired network or direct-wired connection, and wireless media such as acoustic, RF, infrared and other wireless media.
  • Computer readable media may include both storage media and communication media.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Physics & Mathematics (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Physiology (AREA)
  • Computer Networks & Wireless Communication (AREA)
  • Acoustics & Sound (AREA)
  • Signal Processing (AREA)
  • Multimedia (AREA)
  • Pulmonology (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
  • Headphones And Earphones (AREA)

Abstract

L'invention concerne un procédé de surveillance de l'état de santé d'un patient au moyen d'un système de surveillance comprenant un processeur [170], une unité de conversion [104] de signal électrique et une paire de moniteurs [102] d'électrocardiogramme (ECG) à écouteur bouton. Chaque moniteur [102] à écouteur bouton comprend un élément [110] d'électrode conductrice (par exemple un capteur de type physiologique) conçu pour recevoir des signaux de biopotentiel à partir d'une oreille respective du patient. L'unité de conversion [104] de signal électrique commande le fonctionnement des écouteurs bouton [102] et convertit les lectures d'écouteur bouton en données ECG [530] qui sont transmises à un téléphone intelligent [170] pour une analyse ultérieure. Les éléments de l'unité de conversion [104] de signal électrique peuvent comprendre un système sur une puce (SoC) [200] comprenant une mémoire de données [240], un processeur [250] et une alimentation électrique [280].
EP16762700.9A 2015-03-12 2016-03-14 Moniteur d'électrocardiogramme à écouteur bouton et systèmes et procédés associés Withdrawn EP3267885A4 (fr)

Applications Claiming Priority (2)

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US201562132221P 2015-03-12 2015-03-12
PCT/US2016/022311 WO2016145438A1 (fr) 2015-03-12 2016-03-14 Moniteur d'électrocardiogramme à écouteur bouton et systèmes et procédés associés

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US (1) US20180103858A1 (fr)
EP (1) EP3267885A4 (fr)
JP (1) JP2018509218A (fr)
AU (1) AU2016228520A1 (fr)
CA (1) CA2979344A1 (fr)
WO (1) WO2016145438A1 (fr)

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GB2567648B (en) 2017-10-18 2022-09-14 Imperial College Sci Tech & Medicine Electrocardiogram apparatus and method
CN108882112B (zh) * 2018-06-26 2021-04-06 Oppo广东移动通信有限公司 音频播放控制方法、装置、存储介质及终端设备
US20200129102A1 (en) * 2018-10-31 2020-04-30 Bose Corporation Wearable devices with integrated circuitry
WO2022266252A1 (fr) * 2021-06-15 2022-12-22 The Regents Of The University Of California Interfaces de conversion analogique-numérique incrémentales dynamiques pour électrophysiologie intra-auriculaire

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US20040125964A1 (en) * 2002-12-31 2004-07-01 Mr. James Graham In-Line Audio Signal Control Apparatus
US20080171945A1 (en) * 2007-01-15 2008-07-17 Dotter James E Apparatus and method for measuring heart rate and other physiological data
WO2008095167A2 (fr) * 2007-02-01 2008-08-07 Personics Holdings Inc. Procédé et dispositif d'enregistrement audio
US9750462B2 (en) * 2009-02-25 2017-09-05 Valencell, Inc. Monitoring apparatus and methods for measuring physiological and/or environmental conditions
GB0922622D0 (en) * 2009-12-24 2010-02-10 Intelesens Ltd Physiological monitoring device and method
TW201219006A (en) * 2010-11-05 2012-05-16 Univ Nat Cheng Kung A peripheral physiology inspection apparatus and a peripheral auxiliary device for smart phone
JP5979240B2 (ja) * 2012-10-10 2016-08-24 富士通株式会社 熱電変換装置および電子装置
RU2012147716A (ru) * 2012-11-12 2014-05-20 Игорь Владиславович Журавлёв Наушники с дополнительной функцией датчика функционального состояния слушающего
US20140326287A1 (en) * 2013-05-02 2014-11-06 Perpetua Power Source Technologies, Inc. Wearable thermoelectric generator assembly and method of manufacturing same

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US20180103858A1 (en) 2018-04-19
JP2018509218A (ja) 2018-04-05
WO2016145438A1 (fr) 2016-09-15
CA2979344A1 (fr) 2016-09-15
AU2016228520A1 (en) 2017-10-05
EP3267885A4 (fr) 2018-10-10
WO2016145438A8 (fr) 2017-04-13

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